Effectiveness of a Web and Mobile Guided Psychological Intervention for Depressive Symptoms in Turkey

Burçin Ünlü İnce

Status: Unknown

Conditions: Depressive Symptoms

Treatments: Behavioral: Her Sey Kontrol Altinda (HSKA)

Study type: Interventional

Funder types: Other

Identifiers

NCT03754829

No: 53325897-115.02-E.263941

Details and patient eligibility

About

The aim of this study is to test the clinical effects of a web and mobile application of guided Problem Solving Therapy for depressive symptoms among the general population in Turkey.

Full description

In Turkey, there are serious deficiencies in mental health care. Among these, undertreatment of mentally ill patients, lack of psychologists and inadequate psychosocial and rehabilitation options for patients and their relatives are important prohibiting factors that reduce patients' outreach for getting help. While depression is highly prevalent (4.4%), only a small number of people seek professional help (18%) in Turkey. Innovative solutions are needed to overcome this treatment gap. Online Problem-Solving Therapy (PST) is a brief intervention proven to be effective in the treatment of depression, although little is known about its clinical effects in Turkey.

The aim of this study is to test the clinical effects of a web and mobile application of PST for depressive symptoms among the general population in Turkey.

Participants will be recruited through announcements in social media and the Middle East Technical University. A randomized controlled trial with a sample size of 444 participants randomized across three groups will be utilized. The first experimental group will receive direct access to the web version of the intervention; the second experimental group will receive direct access to the mobile app of the intervention as well as automated supportive text messages based on PST. The control group consists of a wait-list and for ethical reasons, participants in this group will gain access to the intervention (either web or mobile application) four months after the baseline. The intervention is based on an existing PST for the Turkish population, "Her Sey Kontrol Altinda" (HSKA).

Enrollment: 444 estimated patients

Sex: All

Ages: 18 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Turkish participants living in Turkey are eligible if the applicants are aged between 18-55 years and have mild to moderate depressive symptoms (Beck Depression Inventory-II score between 10 and 29).

Exclusion criteria

• Participants will be excluded if they have a BDI-II score above 29, or a medium-to- high suicidal risk (according to the MINI-International Neuropsychiatric Interview) and are advised to contact a psychiatrist or clinical psychologist.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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444 participants in 3 patient groups

HSKA - Web Group

Experimental group

Description:

The first experimental group will receive direct access to the web version of HSKA.

Treatment:

Behavioral: Her Sey Kontrol Altinda (HSKA)

HSKA - Mobile Group

Experimental group

Description:

The second experimental group will receive direct access to the mobile app of HSKA as well as automated supportive text messages based on PST.

Treatment:

Behavioral: Her Sey Kontrol Altinda (HSKA)

Control Group

No Intervention group

Description:

The control group consists of a wait-list and for ethical reasons, participants in this group will gain access to the intervention (either web or mobile application) four months after the baseline.